American Journal of Psychiatry
- Volume 145
- Number 10
- October 1988
Publication date: 01 October 1988
Pages1191–1206James Braid is both a neglected and integral figure in the history of dynamic psychiatry. With the introduction of his neurophysiologic theory of hypnosis in the early 1840s he buried Mesmer's doctrine of animal magnetism and established hypnotic ...
https://doi.org/10.1176/ajp.145.10.1191Publication date: 01 October 1988
Pages1207–1213Natural human uneasiness about blood, injury, or deformity sometimes becomes a specific phobia, which can lead to serious disability if vital medical procedures are refused. Blood-injury phobia usually starts in childhood and is often familial. Unlike ...
https://doi.org/10.1176/ajp.145.10.1207Publication date: 01 October 1988
Pages1214–1221Simultaneous major depression and panic disorder appears to be a common occurrence in psychiatric patients. Patients with this condition present with more severe symptoms than patients with major depression only, respond less well to conventional ...
https://doi.org/10.1176/ajp.145.10.1214Publication date: 01 October 1988
Pages1222–1225The frequency of depressive symptoms was compared in four psychiatrically referred populations: preschool (N = 9) and prepubertal (N = 95) children, adolescents (N = 92), and adults (N = 100). All had been systematically interviewed and diagnosed ...
https://doi.org/10.1176/ajp.145.10.1222Publication date: 01 October 1988
Pages1226–1231The authors compared 31 outpatients with double depression to 50 outpatients with episodic major depression. Patients with double depression exhibited significantly greater impairment, more severe depressive symptoms, greater comorbidity, more personality ...
https://doi.org/10.1176/ajp.145.10.1226Publication date: 01 October 1988
Pages1232–1236The authors describe the changes in DSM-III criteria for posttraumatic stress disorder (PTSD) that have been included in DSM-III-R. DSM-III-R includes specification of generic characteristics of traumatic stressors, clearer organization of symptoms around ...
https://doi.org/10.1176/ajp.145.10.1232Publication date: 01 October 1988
Pages1237–1242Attention to reform of reimbursement for psychiatric inpatient services largely focuses on the use of prospective payment systems, e.g., payment based on diagnosis-related groups (DGRs), for hospitals. Recently, there also has been interest in proposals ...
https://doi.org/10.1176/ajp.145.10.1237Publication date: 01 October 1988
Pages1243–1247Lawyers have argued that surveillance of the forensic psychiatric examination (either direct observation by a lawyer or recording of the examination) is necessary under certain circumstances to protect clients' rights and ensure more accurate reporting of ...
https://doi.org/10.1176/ajp.145.10.1243Publication date: 01 October 1988
Pages1248–1253In a controlled study of Recovery, Inc., a self-help program for people with psychiatric problems, the author found a decline in both symptoms and concomitant psychiatric treatment after subjects had joined the group. Scores for neurotic distress reported ...
https://doi.org/10.1176/ajp.145.10.1248Publication date: 01 October 1988
Pages1254–1258The authors examined the relationship of social supports to physical and psychological well-being in 118 men and women 65 years old or older who were living independently in the community. Subjects with more symptoms of depression reported having fewer ...
https://doi.org/10.1176/ajp.145.10.1254Publication date: 01 October 1988
Pages1259–1264The evacuation of an Israeli community in the Sinai peninsula afforded an unusual opportunity to study the longitudinal relationships between personal network characteristics and psychosocial adjustment. Friendship network characteristics proved highly ...
https://doi.org/10.1176/ajp.145.10.1259Publication date: 01 October 1988
Pages1265–1269The authors studied the social networks and psychopathology of 168 patients with diagnoses of substance abuse. Small network size was correlated with higher scores on the Modified Michigan Alcohol-Drug Screening Test, higher symptom reports on the SCL-90 ...
https://doi.org/10.1176/ajp.145.10.1265Publication date: 01 October 1988
Pages1273–1276The access of the homeless mentally ill to the benefits of psychiatric hospitalization has been excessively limited by deinstitutionalization, the devaluation of the benefits of inpatient evaluation and treatment, a shortage of public-sector psychiatric ...
https://doi.org/10.1176/ajp.145.10.1273Publication date: 01 October 1988
Pages1277–1279Four cases are reported in which substantial depression was associated with the use of the calcium channel blocker nifedipine. In one instance, a patient became unresponsive to treatment with nortriptyline when nifedipine was introduced. In each case, the ...
https://doi.org/10.1176/ajp.145.10.1277Publication date: 01 October 1988
Pages1280–1284A comparison of 17 narrowly defined borderline patients with 20 nonpatient control subjects indicated that certain individual and combinations of criteria may be more highly correlated with the disorder than others. Requiring any four or certain specific ...
https://doi.org/10.1176/ajp.145.10.1280Publication date: 01 October 1988
Pages1285–1286Of 14 patients with obsessive-compulsive disorder who entered an 8-week open trial of buspirone, none improved. The ineffectiveness of buspirone may shed light on the serotonergic hypothesis that has been proposed for this disorder.
https://doi.org/10.1176/ajp.145.10.1285Publication date: 01 October 1988
Pages1287–1288Among patients with anorexia nervosa in a research program, the proportion of those who had developed bulimia before anorexia increased between 1976 and 1987. These preliminary results may reflect a new symptom pattern with important clinical and research ...
https://doi.org/10.1176/ajp.145.10.1287Publication date: 01 October 1988
Pages1289–1291In a double-blind, randomized clinical trial, the efficacy of imipramine and of phenelzine was compared with that of placebo in 34 male veterans with posttraumatic stress disorder (PTSD). Both medications reduced PTSD symptoms.
https://doi.org/10.1176/ajp.145.10.1289Publication date: 01 October 1988
Pages1292–1294Five depressed patients who had shown no improvement with trials of antidepressants from several chemical families, including fluoxetine, responded when lithium was given in conjunction with fluoxetine. Lithium augmentation of fluoxetine may represent a ...
https://doi.org/10.1176/ajp.145.10.1292Publication date: 01 October 1988
Pages1295–1296Seven patients with organic mental disorders and physically aggressive behavior were treated with trazodone. Three ceased demonstrating aggressive behavior within 4-6 weeks after starting trazodone treatment. Three had no discernible reduction in ...
https://doi.org/10.1176/ajp.145.10.1295Publication date: 01 October 1988
Pages1297–1299The authors observed 20 patients over time for mal-adaptive personality traits during hospitalization and made longitudinal diagnoses to validate Structured Clinical Interview for DSM-III-R (SCID) assessments of personality disorders. The SCID assessments ...
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